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This is VAERS ID 241512

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 241512
VAERS Form:
Age:
Sex:Female
Location:New Mexico
Vaccinated:2005-04-05
Onset:2005-04-06
Submitted:2005-07-14
Entered:2005-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR, U1525AB / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: HEADACHE, PAIN BACK, GAIT ABNORM, PAIN NECK, CHILLS FEVER

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Zyrtec; doxycycline
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: Within 12 hours of receiving Menactra, pt developed headache, neck pain, spine pain, chills, subjective fever, difficulty standing and walking secondary to pain. Recommended fluids and Ibuprofen. Observed at office visit. Symptoms resolved in 24-48 hours.


Changed on 12/8/2009

VAERS ID: 241512 Before After
VAERS Form:
Age:(blank) 18.0
Sex:Female
Location:New Mexico
Vaccinated:2005-04-05
Onset:2005-04-06
Submitted:2005-07-14
Entered:2005-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR, AVENTIS PASTEUR U1525AB / 0 LA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Back pain, Difficulty in walking, Headache, Neck pain, Pyrexia, HEADACHE, PAIN BACK, GAIT ABNORM, PAIN NECK, CHILLS FEVER

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Zyrtec; doxycycline
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: Within 12 hours of receiving Menactra, pt developed headache, neck pain, spine pain, chills, subjective fever, difficulty standing and walking secondary to pain. Recommended fluids and Ibuprofen. Observed at office visit. Symptoms resolved in 24-48 hours.


Changed on 4/7/2010

VAERS ID: 241512 Before After
VAERS Form:
Age:18.0
Sex:Female
Location:New Mexico
Vaccinated:2005-04-05
Onset:2005-04-06
Submitted:2005-07-14
Entered:2005-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR U1525AB / 0 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Back pain, Difficulty in walking, Headache, Neck pain, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Zyrtec; doxycycline
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: Within 12 hours of receiving Menactra, pt developed headache, neck pain, spine pain, chills, subjective fever, difficulty standing and walking secondary to pain. Recommended fluids and Ibuprofen. Observed at office visit. Symptoms resolved in 24-48 hours.


Changed on 5/14/2017

VAERS ID: 241512 Before After
VAERS Form:
Age:18.0
Sex:Female
Location:New Mexico
Vaccinated:2005-04-05
Onset:2005-04-06
Submitted:2005-07-14
Entered:2005-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR SANOFI PASTEUR U1525AB / 0 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Back pain, Difficulty in walking, Headache, Neck pain, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Zyrtec; doxycycline
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: Within 12 hours of receiving Menactra, pt developed headache, neck pain, spine pain, chills, subjective fever, difficulty standing and walking secondary to pain. Recommended fluids and Ibuprofen. Observed at office visit. Symptoms resolved in 24-48 hours.


Changed on 9/14/2017

VAERS ID: 241512 Before After
VAERS Form:(blank) 1
Age:18.0
Sex:Female
Location:New Mexico
Vaccinated:2005-04-05
Onset:2005-04-06
Submitted:2005-07-14
Entered:2005-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1525AB / 0 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Back pain, Difficulty in walking, Headache, Neck pain, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Zyrtec; doxycycline
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: Within 12 hours of receiving Menactra, pt developed headache, neck pain, spine pain, chills, subjective fever, difficulty standing and walking secondary to pain. Recommended fluids and Ibuprofen. Observed at office visit. Symptoms resolved in 24-48 hours.


Changed on 2/14/2018

VAERS ID: 241512 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:New Mexico
Vaccinated:2005-04-05
Onset:2005-04-06
Submitted:2005-07-14
Entered:2005-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1525AB / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Back pain, Difficulty in walking, Headache, Neck pain, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Zyrtec; doxycycline
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: Within 12 hours of receiving Menactra, pt developed headache, neck pain, spine pain, chills, subjective fever, difficulty standing and walking secondary to pain. Recommended fluids and Ibuprofen. Observed at office visit. Symptoms resolved in 24-48 hours.


Changed on 6/14/2018

VAERS ID: 241512 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:New Mexico
Vaccinated:2005-04-05
Onset:2005-04-06
Submitted:2005-07-14
Entered:2005-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1525AB / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Back pain, Difficulty in walking, Headache, Neck pain, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Zyrtec; doxycycline
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: Within 12 hours of receiving Menactra, pt developed headache, neck pain, spine pain, chills, subjective fever, difficulty standing and walking secondary to pain. Recommended fluids and Ibuprofen. Observed at office visit. Symptoms resolved in 24-48 hours.


Changed on 8/14/2018

VAERS ID: 241512 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:New Mexico
Vaccinated:2005-04-05
Onset:2005-04-06
Submitted:2005-07-14
Entered:2005-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1525AB / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Back pain, Difficulty in walking, Headache, Neck pain, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Zyrtec; doxycycline
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: Within 12 hours of receiving Menactra, pt developed headache, neck pain, spine pain, chills, subjective fever, difficulty standing and walking secondary to pain. Recommended fluids and Ibuprofen. Observed at office visit. Symptoms resolved in 24-48 hours.


Changed on 9/14/2018

VAERS ID: 241512 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:New Mexico
Vaccinated:2005-04-05
Onset:2005-04-06
Submitted:2005-07-14
Entered:2005-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1525AB / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Back pain, Difficulty in walking, Headache, Neck pain, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Zyrtec; doxycycline
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: Within 12 hours of receiving Menactra, pt developed headache, neck pain, spine pain, chills, subjective fever, difficulty standing and walking secondary to pain. Recommended fluids and Ibuprofen. Observed at office visit. Symptoms resolved in 24-48 hours.


Changed on 10/14/2018

VAERS ID: 241512 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:New Mexico
Vaccinated:2005-04-05
Onset:2005-04-06
Submitted:2005-07-14
Entered:2005-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1525AB / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Back pain, Difficulty in walking, Headache, Neck pain, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Zyrtec; doxycycline
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: Within 12 hours of receiving Menactra, pt developed headache, neck pain, spine pain, chills, subjective fever, difficulty standing and walking secondary to pain. Recommended fluids and Ibuprofen. Observed at office visit. Symptoms resolved in 24-48 hours.

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